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P2‐011: Development of a model group cognitive therapeutic intervention for those living with Alzheimer's disease and related disorders
Author(s) -
Sterns Anthony,
Sterns Ronni,
Sterns Harvey
Publication year - 2010
Publication title -
alzheimer's and dementia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 6.713
H-Index - 118
eISSN - 1552-5279
pISSN - 1552-5260
DOI - 10.1016/j.jalz.2010.05.1031
Subject(s) - dementia , cognition , psychological intervention , psychology , set (abstract data type) , perception , affect (linguistics) , magic (telescope) , intervention (counseling) , clinical psychology , medicine , computer science , disease , psychiatry , communication , pathology , neuroscience , programming language , physics , quantum mechanics
Background: The Memory Magic Program was developed as a group activity for persons with dementia. Using cognitive learning principles and human factors research, we designed the activity to successfully engage a group of up to 20 individuals, with a broad range of cognitive and physical capabilities, for 60 minutes, with a single staff person. Methods: The design process began with testing of a number of design parameters incorporated into 4 distinct prototypes. We used these prototypes to determine which feature set and supporting structure was the most ergonomically sound and would best accommodate visual and perceptual deficits common to aging and dementia. As a result of the pilot testing, a prototype design for the activity was developed and models constructed. In parallel, engaging content was also designed for the therapy. The models and content were tested in long term care, adult day care, and assisted living settings. Results: Results indicate that The Memory Magic Program elicited more positive engagement, improved affect, and a reduction of negative behaviours in a group of 24 participants. The results were then replicated in a second study in 9 additional settings with 133 individuals. Conclusions: Using careful ergonomic design, and building around the principles of supporting remaining abilities and utilizing content with multiple cognitive tasks, group cognitive therapeutic interventions can be designed that will successfully engage the broad range of cognitive capabilities for persons living with ADRD in a single group. Such activities provide improvements in the quality of life needed in person centered therapy along with the efficiency of group activities.